NCS01727_2024Permit_Initial

2024
Permit and Registration
DC Septic Pumping
is hereby issued a Septage Management Firm Permit,
STATE,,
Permit Number NCS-01727
o and registered as a
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NORTH
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-�� Septage Management Firm�� �� w� ��nffii�utr
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NORTH CAROLINA (PUMPER)
Environmental Quality
in the State of North Carolina.
This permit to operate a Septage Management Firm is issued to the above -named person, business, or entity alone and is not transferable to any other person, business, or entity.
Firm operation shall be in accordance with the provisions of N.C. General Statute 130A-291.1 - 130A-291.3, Title 15A of the N.C. Administrative Code 13B .0800 et.seq., conditions
of the permit, and representations made in the application and accompanying documents for a permit.
The permit holder is authorized to discharge septage only at the locations(s) listed below:
1. Septage Detention or Treatment Facility, SDTF-82-04
2. Septage Land Application Site, SLAS-82-19
This permit does not entitle the permit holder to operate a Septage Land Application Site, a Septage Detention or Treatment Facility, or any other solid waste management facility
not specified herein.
Failure to operate as permitted may result in the Department suspending or revoking this permit, initiating action to enjoin the unpermitted operation, imposing administrative
penalties, or invoking any other remedy as provided in Chapter 130A, Article 1, part 2 of the North Carolina General Statutes.
This permit and this registration expire on December 31, 2024.
Digitally signed by Wm Perry
Wm P e r ry S u g g Sugg
Date: 2024.02.05 11:30:45-05'00'
Perry Sugg, Environmental Compliance Branch Head

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
�TTN �J2Si2� Cobb (Pumpers) lye,✓ F��%p%
pp �
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION -1646 MAIL SERVICE CENTER, RALEIGH, NC r Z Z 7
27699-1646 (1.) Firm name: (The "FirmAiame" must be exactly as it is shown on your vehicle(s)).
Street address of office: 0.L
City: State:IV C Zip:�ZX ._
Mailing address (if different): P.A.5 rj
City: State: YC Zip 27Z _
Phone: q 1 O - _49 _ 113) Fax:
E-Mail: c1c ;
County: Septage Management Firm permit number: NCS #
(2.) Firm owner's name: Char )cs cr�r �[a k DkXvjdJ EjwanjX
Mailing address (if different):
City:
Phone:
State: Zip
Fax:
(3.) Firm operator's name: %.vi d Qw" Firm operator's title: Ou/wt ,
Mailing address (if different):
City:
State: Zip:
Phone: Fax:
(4.) Type(s) of septage pumped: Write in the number of gallons pumped in last 12 months (Example: Domestic: 50,000).
Domestic 1 Portable Toilet Waste I Grease
(5.)
Restaurant) Treatment Plant
(6.) Total Number of Pumper Vehicles Operated: 2.
Number used for: Domestic Septage:_ 2 — Grease (restaurant): 2-
Other: Portable Toilet Waste: 2-
Vehicle Information: (use additional paper if needed)
License Tag #
Vehicle Identification #
Tank Capacity
1
�'l '1`LS
l�AM A
2 T��S
3
4
5
PAGE 1 of 2
c�1.41#4ql a-, 4 t- -
'
iz1 6 /L3

APPLICATION FOR PERMIT TO OPERATE A SEPTAGE MANAGEMENT FIRM
(7.) Do you plan to operate pumper vehicles? (check one) (.0) yes ( ) no.
If you checked yes above, you must attest to the following statement before a permit may be issued.
"I certify, under penalty of law, that the pumper vehicle or vehicles listed in the submitted permit application meets the
requirements for safe and sanitary transportation of septage as required by 15A NCAC 13B .0835(a) and vehicle lettering
as required by 15A NCAC .0835(b). Furthermore, I also certify that a log is maintained of each septage pumping event as
required by 15A NCAC 13B .0836(a). I am aware that there are significant penalties for false certification including the
possibility of fine and imprisonment."
Do you attest to the statement above? (✓) yes ( ) no Initial C AE Date_ _ 2-1 ill 23
(8.) Septage Disposal Method: (check one)
a) Approved wastewater treatment plant: ( ) yes (,) no. If yes, submit Wastewater Treatment Authorization for each
plant, as indicated in Subparagraph .0834(c)(14) of the Septage Management Rules.
b) Septage Land Application Site (SLAS) Permit Numbers: (use additional sheets if needed)
SLAS#:_ IL-1 R Expiration Date: 12431 jM SLAS#: Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#: U-bq Expiration Date:_ SDTF#- Expiration Date: _
(9.) Septage Management Firm Operator Training Completed:
Date: kt� 16 z3 Location: V irk Hours:
Training Sponsored or Provided by: :Ye V;re v Bullard
If
(10.) Septage Land Application Site Operator Training Completed:
Date: 1 Z I Z122 Location: , NC Hours: 7
Training Sponsored or Provided by: N C Pump Ora4,a ��soc.'��,� [ �On J�dAA)
(11.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm: -V,'
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
I certify that the information and representations in this application for a permit are true, complete, and accurate to the best
of my knowledge and belief. I am aware that a permit may be suspended or revoked upon a finding that its issuance was
based upon incorrect or inadequate information that materially affected the decision to issue the permit and that there are
criminal penalties for knowingly making a false statement, representation, or certification.
Signature (Signature of companyofficial required)
a car Ie S rr"d r
Print Name
Other Comments:
Date
6" r
Title
Rev.04-26-2021
PAGE 2

AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE LAND APPLICATION
SITE PERMITTED TO SOMEONE OTHER THAN YOURSELF
(This form is used by a land application site permit holder to indicate that permission has been
given to a permitted Septage Management Firm to land apply septage on the permit holders
land application site.)
afro i�)c�'jd
Jo rd�--
(Site Operator)
VM� ('.
11 k\
(Operator Address)
do hereby authorize: C-ktol �j &[IWArlb d Abar I Ei "A l"
(Owner of Septage Management Firm)
r
NCS #
(Name of Septage Managemr_rnt Firm )
(Septage Management Firm Address)
to use septage disposal site # ?2 -1 for the disposal of gallons of septage* in 20-4-Y--
Date: Z Signe
(Si perator)
* As defined in G.S. 130-A-290(a)(32). The site will be operated in accordance with 15A NCAC 13B
.0800 - Septage Management Rules
Return the properly completed form to:
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646

AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR
STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF
(This form is used by a detention or treatment facility permit holder to indicate that permission
has been given to a permitted Septage Management Firm to discharge septage into the permit
holders detention or treatment facility.)
01."Jd 1-ecw Jordo'�j
(Facility Operator)
CJV W C
o
(Operator Address)
do hereby authorize: "Qr4s ,aU i- Dqw&Ihm d
(Owner of Septage Management Firm)
1) r- c_ Pujhj2,J . LL C NCS #
(Name o Septage Management'Firm)
2+44 C1- 4ron C a$
-3029
(Address of Septage Management Firm)
to utilize septage detention or treatment facility # $ Z -09 for the treatment or storage of
septage *
in 20 The facility will be operated in accordance with the Septa anagement Rules **.
Date: 2— Signed
(Facilit Operator)
* As defined in G.S. 130A-290(a)(32)
** As defined in 15A NCAC 136 .0800
Return the properly completed form to:
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
Sent via Email
Mr. Charles Edwards
DC Septic Pumping
PO Box 1571
Clinton, NC 28329
NORTH CAROLINA
Environmental Quality
December 29, 2023
Re: New Firm — Assignment of Permit Number (NCS#)
DC Septic Pumping NCS-01727
Dear Mr. Edwards:
We have received an Application for a Permit to Operate a Septage Management Firm, a permit fee
payment in the amount of $950, and disposal authorizations for SDTF-82-04 and SLAS-82-19. Also, we
have record of your attendance at the New Operator Class on November 16, 2023. However, your
Application to Operate a Septage Management Firm will not be processed until the vehicles have
been inspected for compliance with the rules and approved by the Division. When the Permit to
Operate a Septage Management Firm is issued, the Firm Permit Number will be NCS-01727. Please
note that this letter is not a permit.
Requirements for the pumper vehicle(s) can be found within 15A NCAC 13B .0835 of the Septage
Management Rules. As noted within Rule .0835 (b), the firm name, town name, phone number, and
permit number, NCS-01727, must be visible and permanently attached on both sides of the pumper
vehicle. Each letter must be at least 3 inches in height. When the required lettering has been completed,
please contact Mr. John Farnell, Environmental Specialist II in the Wilmington Regional Office at 910-
796-7397 or email at John. Farnell(d_)deg.nc.gov to request a truck inspection.
This letter shall not be considered as a permit to operate a Septage Management Firm. Please
note that you may not legally operate a septage management firm in North Carolina without a
permit. General Statutes, GS 130A-291.1 (c) states in part "A septage management firm that
commences operation without first having obtained a permit shall cease to operate until the firm obtains a
permit under this section." You are hereby advised that, pursuant to N.C.G.S. 130A-22, an administrative
penalty of up to $15,000 per day may be assessed for each violation of the Solid Waste Statute or
Regulations. If you have any questions, feel free to contact me at 919-707-8283.
Sincerely,
Chester R. Cobb, Environmental Program Consultant
Division of Waste Management, NCDEQ
copied: John Farnell, Environmental Specialist II, Wilmington Regional Office
�� NOTth Carolina Department of Environmenta Quality I Division of Waste Management
,/-,�-D Et
217 West Jones Street 1 1646 Mail Service Center I Raleigh, North Carolina 27699 -16 46
919.707.8200